Provider Demographics
NPI:1578774568
Name:ROSS, SCOTT F (MD)
Entity Type:Individual
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First Name:SCOTT
Middle Name:F
Last Name:ROSS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:4401 N CAMPUS RIDGE DR
Mailing Address - Street 2:SUITE D2100
Mailing Address - City:MIDLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48640-6112
Mailing Address - Country:US
Mailing Address - Phone:989-837-9300
Mailing Address - Fax:989-837-9307
Practice Address - Street 1:4401 N CAMPUS RIDGE DR
Practice Address - Street 2:SUITE D2100
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48640-6112
Practice Address - Country:US
Practice Address - Phone:989-837-9300
Practice Address - Fax:989-837-9307
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2012-09-20
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Provider Licenses
StateLicense IDTaxonomies
OH57012042207Q00000X
MI4301093314207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine